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目的探讨早期康复治疗对急性脑卒中偏瘫患者运动功能和日常生活活动能力的影响。方法86例发病<1周的急性脑卒中偏瘫患者随机分成康复组和对照组各43例。2组神经内科常规治疗相同,康复组同时由经过专业训练的治疗师给于系统的康复训练。结果采用临床神经功能评分、Fugl-Meyer运动功能评分(FMA)和改良的巴氏指数(MBI)等对2组进行治疗前后评分显示,治疗前2组评分差异均无显著性(P>0.05);治疗后康复组各项指标评分明显优于对照组(P<0.05)。结论早期康复可以防止和减轻废用综合征的产生,促进功能恢复,提高日常生活能力,对患者预后有良好的影响。
Objective To investigate the effects of early rehabilitation on motor function and activities of daily living in hemiparetic patients with acute stroke. Methods A total of 86 patients with acute stroke with hemiplegia less than 1 week were randomly divided into rehabilitation group (43 cases) and control group (43 cases). Two groups of neurology routine treatment of the same, the rehabilitation group by the professionally trained therapist to the system of rehabilitation training. Results Before and after the treatment, the scores of clinical neurological function, Fg and MBI showed no significant difference (P> 0.05) After treatment, the rehabilitation group score of each index was significantly better than the control group (P <0.05). Conclusion Early rehabilitation can prevent and reduce the generation of disuse syndrome, promote functional recovery, improve daily living ability, and have a good effect on the prognosis of patients.